Pediatric emergency care
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Pediatric emergency care · Jul 2016
Essentials of Pediatric Emergency Medicine Fellowship: Part 3: Clinical Education and Experience.
This article is the third in a 7-part series that aims to comprehensively describe the current state and future directions of pediatric emergency medicine fellowship training from the essential requirements to considerations for successfully administering and managing a program to the careers that may be anticipated upon program completion. This article focuses on the clinical aspects of fellowship training including the impact of the clinical environment, modalities for teaching and evaluation, and threats and opportunities in clinical education.
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Pediatric emergency care · Jul 2016
Case ReportsLyme Myocarditis Presenting as Chest Pain in an Adolescent Girl.
A previously healthy adolescent girl presented to the emergency department with new onset chest and right upper quadrant abdominal pain. Laboratory studies and imaging were consistent with myocarditis. She developed heart block after admission and required stabilization in the cardiac intensive care unit. Lyme serology returned positive, and her condition was diagnosed as Lyme disease-associated myocarditis.
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Pediatric emergency care · Jul 2016
The Use of a Pediatric Migraine Practice Guideline in an Emergency Department Setting.
The aim of the study was to evaluate the safety and efficacy of a standardized pediatric migraine practice guideline in the emergency department (ED). ⋯ Our MCPG was clinically safe and effective in treating children with acute migraine headaches. Our data add to the dearth of existing published literature on migraine treatment protocols in the ED setting. We recommend additional prospective and comparative studies to further evaluate the effectiveness of our protocol in this patient population.
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Pediatric emergency care · Jul 2016
Case ReportsDelayed Presentation of Jejuno-Jejunal Fistula With Stricture After Physical Child Abuse.
Small intestinal injury is seldom described in the context of child abuse. Signs and symptoms are subtle, often leading to delays in diagnosis. We describe a 3-year-old boy initially admitted with severe blunt abdominal trauma from physical child abuse. ⋯ The child was then hospitalized several times for nonspecific abdominal symptoms until diagnostic laparoscopy discovered a jejunal stricture with a proximal jejuno-jejunal fistula. Symptoms fully resolved after resection. Delayed presentation of small intestinal injury should remain on the differential diagnosis in the evaluation of persistent abdominal symptoms in a child with a prior history of physical abuse, even if imaging studies do not reveal specific abnormalities.
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Pediatric emergency care · Jul 2016
Emergency Department Management of Febrile Respiratory Illness in Children.
There are limited data regarding testing and treatment patterns for children presenting to the emergency department (ED) with a febrile respiratory illness. ⋯ High rates of diagnostic testing were observed among children with febrile respiratory illnesses, despite low rates of pneumonia diagnosis. Antibiotic use was higher among children cared for at a general ED compared with pediatric ED.